CANDYCE S JACKSON
NPI 1528682390
Counselor - Addiction (Substance Use Disorder) in Santa Monica, CA

NPI Status: Active since June 08, 2020

Contact Information

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-6200

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About CANDYCE JACKSON

This page provides the complete NPI Profile along with additional information for Candyce Jackson, a provider established in Santa Monica, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1528682390 assigned on June 2020. The practitioner's primary taxonomy code is 101YA0400X with license number AII051011123 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1528682390
Provider Name
CANDYCE S JACKSON
Gender
Female
Entity Type
Individual
Location Address
909 PICO BLVD SANTA MONICA, CA 90405
Location Phone
(310) 314-6200
Mailing Address
909 PICO BLVD SANTA MONICA, CA 90405
Mailing Phone
(310) 314-6200
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-08-2020
Last Update Date
02-01-2024
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A Substance Abuse or Addiction Counselor like Candyce Jackson advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
AII051011123
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528682390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481284318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 2 + 8 + 4 + 3 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528682390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. LEAH DYSON

Case Manager/Care Coordinator

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

DEBRA LEE POORMAN

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 614-6200

SHERRIE MARIE MIRANDA CAS

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

DR. KATHERYN LEANNE WHITTAKER PSYD, LMFT, LPCC

Marriage & Family Therapist

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(714) 931-9331

JOSH PANNELL

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

ANDERSON BROUSSARD III

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

THOMAS NABORS

Marriage & Family Therapist

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

LAVAR HEARNS I

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

JENNIFER MAGGART RN, RADT-II

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

MICHAEL ROBINSON

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

ERIKA HERNANDEZ

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

LESLIE ELENA WENZELL

Counselor

(Mental Health)

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(415) 813-8967

MR. DARWIN REGINALD BUTLER SR. CATC II

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

WILLIAM JONES

Counselor

(Addiction (Substance Use Disorder))

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

LILY KUIPERS

Counselor

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(866) 452-5273

JILL LEVENBERG

Marriage & Family Therapist

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

GLADYS MARGARITA MORENO

Contractor

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

ROBIN CAROL RAYNNE ZURN

Counselor

(Mental Health)

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

ATHERINE DANICE SHACKELFORD LVN,RN

Registered Nurse

(Medical-Surgical)

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

ADRIENE PETRISE FAUST LCSW

Social Worker

(Clinical)

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405

(310) 314-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528682390, enumerated as an "individual" on June 08, 2020.

The provider is located at 909 PICO BLVD SANTA MONICA, CA 90405 and the phone number is (310) 314-6200.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).